Nonunion of a scapular spine fracture: Case report and management with open reduction, internal fixation, and bone graft

As-Sultany, Mohammed; Tambe, Anant; Clark, David

doi:10.4103/0973-6042.42202

Cited by 13 publications

(19 citation statements)

References 13 publications

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“…Isolated fractures of the scapular spine are relatively uncommon injuries [ 1 , 3 , 4 ]. They are usually a result of high-energy trauma; most are non-displaced or minimally displaced and treated non-operatively [ 1 , 2 , 5 ].…”

Section: Discussionmentioning

confidence: 99%

“…The pull of the deltoid muscle can tilt the fragment inferiorly, which compromises the function of the rotator cuff [ 1 , 7 ]. Sagging of the lateral spine and acromion effectively produces narrowing of the supraspinatus outlet and secondary impingement of the rotator cuff [ 3 , 8 ]. As Lambert et al [ 9 ] mentioned in their study, scapular spine fracture represents a partial failure of the lateral scapular suspension system, leading to a failure of scapular postural control, with resulting sub-acromial impingement.…”

Section: Discussionmentioning

confidence: 99%

“…Majority of these fractures can be treated with Kirschner wire and tension band wiring [ 10 ]. Scapular spine fractures that enter the spino-glenoid notch are different from isolated acromial fractures [ 3 ]. Therefore, they should be treated differently.…”

Section: Discussionmentioning

confidence: 99%

“…Therefore, they should be treated differently. For more proximal and medially displaced fractures involving the spine, plate fixation is more appropriate [ 3 , 11 ].…”

Section: Discussionmentioning

confidence: 99%

“…Scapular fractures are rare injuries which consist of 1 % of all fractures and 5 % of shoulder girdle fractures [ 1 , 2 ]. Most of the scapular fractures are neck and body fractures, and only 6 % of scapular fractures are scapular spine fractures [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

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Pseudo-arthrosis of the spine of the scapula: a case report with a delayed diagnosis

Çopuroğlu¹,

Tan²,

Çopuroğlu³

et al. 2014

Strategies in Trauma and Limb Reconstruction

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Scapular spine fractures are rare injuries. The aim of this study was to evaluate a late-diagnosed scapular spine pseudo-arthrotic patient. Because of the surrounding soft tissue mass and overlapping of the scapula with the thoracal bones on a roentgenogram, diagnosis may be missed or delayed for years. We present a case of scapular spine pseudo-arthrosis in a 50-year-old man, who sustained a traffic accident 2 years ago. He was treated as a soft tissue injury of the left shoulder and later as a rotator cuff tear. His scapular spine fracture was diagnosed as pseudo-arthrosis of the scapular spine with a diagnostic delay of 2 years. Isolated scapular spine fractures are rare, usually associated with other injuries and frequently treated non-operatively. Sagging of the acromion as a result of a scapular spine fracture may mimic supraspinatus outlet impingement. If a painful pseudo-arthrosis limits the function of a shoulder, fractured ends should be fixed until union occurs. Although scapular spine fractures are rarely seen, they must take place in the differential diagnosis of impingement syndromes of the shoulder.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…Therefore, they should be treated differently. For more proximal and medially displaced fractures involving the spine, plate fixation is more appropriate [ 3 , 11 ].…”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Pseudo-arthrosis of the spine of the scapula: a case report with a delayed diagnosis

Çopuroğlu¹,

Tan²,

Çopuroğlu³

et al. 2014

Strategies in Trauma and Limb Reconstruction

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Nonunion of the so-called acromion: a systematic review with consideration of the terminology

Ogawa

Matsumura

Yoshida

et al. 2023

Arch Orthop Trauma Surg

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Introduction There is no widely accepted standard for the classification and treatment of traumatic acromion/scapular spine fracture nonunion due to the scarcity of this condition and the confusion of terminology. Materials and methods PubMed and Scopus were searched using “scapular fracture” and “acromion fracture” or “scapular spine fracture” as search terms. The inclusion criteria were English full-text articles concerning acromion/scapular spine fracture nonunion that described patient characteristics and presented appropriate images. The exclusion criteria were cases without appropriate images. Citation tracking was conducted to find additional articles and notable full-text articles written in other languages. Fractures were classified using our newly proposed classification system. Results Twenty-nine patients (19 men, 10 women) with 29 nonunions were identified. There were four type I, 15 type II, and 10 type III fracture nonunions. Only 11 fractures were isolated. The mean period from initial injury to final diagnosis was 35.2 ± 73.2 months (range 3–360 months) (n = 25). The most frequent cause of delayed diagnosis was conservative treatment for fracture in 11 patients, followed by oversight by the physician in 8. The most common reason for seeking medical advice was shoulder pain. Six patients received conservative therapy, and 23 received operative treatment. Fixation materials included various plates in 15 patients, and tension band wiring in 5. Bone grafting was performed in 16 patients (73%, 16/22). Of the 19 surgically treated patients with adequate follow-up, the outcome was rated excellent in 79%. Conclusions Isolated acromion/scapular spine fracture nonunion is rare. Fracture type II and III, arising in the anatomical scapular spine, accounted for 86% of the fractures. Computed tomography is required to prevent fracture oversight. Surgical therapy produces good stable results. However, it is important to select the appropriate surgical fixation method and material after considering the anatomical characteristics of the fracture and stress on the fractured portion. Level of evidence V

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Reconstruction surgery of intra-articular scapular fracture nonunion: a case report and literature review

Matsuo

Yoshikawa

Oki

et al. 2022

JSES Reviews, Reports, and Techniques

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This is a PDF file of an article that has undergone enhancements after acceptance, such as the addition of a cover page and metadata, and formatting for readability, but it is not yet the definitive version of record. This version will undergo additional copyediting, typesetting and review before it is published in its final form, but we are providing this version to give early visibility of the article. Please note that, during the production process, errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.

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Nonunion of a scapular spine fracture: Case report and management with open reduction, internal fixation, and bone graft

Cited by 13 publications

References 13 publications

Pseudo-arthrosis of the spine of the scapula: a case report with a delayed diagnosis

Pseudo-arthrosis of the spine of the scapula: a case report with a delayed diagnosis

Nonunion of the so-called acromion: a systematic review with consideration of the terminology

Reconstruction surgery of intra-articular scapular fracture nonunion: a case report and literature review

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